Karstrup S, Solvig J, Nolsøe C P, Nilsson P, Khattar S, Loren I, Nilsson A, Court-Payen M
Department of Ultrasound, Herlev Hospital, University of Copenhagen, Denmark.
Radiology. 1993 Sep;188(3):807-9. doi: 10.1148/radiology.188.3.8351352.
Breast abscesses typically develop in lactating women. The recommended treatment is surgical incision and drainage with the patient under general anesthesia. Ultrasonically guided percutaneous drainage with local anesthesia was performed in 19 consecutive patients referred for treatment because of clinical signs of acute puerperal breast abscess. Eighteen of the 19 patients (95%) were successfully treated. Long-term follow-up (median, 12 months) did not show any recurrences, and the cosmetic results were excellent. Eight of the 19 patients (42%) continued nursing during and after treatment. Ten of the 19 (53%) were treated on an outpatient basis. On the basis of these results, the authors recommend ultrasonically guided percutaneous treatment for use in patients with acute puerperal breast abscesses.
乳腺脓肿通常发生在哺乳期女性。推荐的治疗方法是在全身麻醉下对患者进行手术切开引流。对19例因急性产褥期乳腺脓肿临床症状前来就诊的患者实施了超声引导下局部麻醉经皮引流术。19例患者中有18例（95%）成功治愈。长期随访（中位时间为12个月）未发现任何复发情况，美容效果极佳。19例患者中有8例（42%）在治疗期间及治疗后继续哺乳。19例中有10例（53%）在门诊接受治疗。基于这些结果，作者推荐对急性产褥期乳腺脓肿患者采用超声引导下经皮治疗。
